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<TABLE CELLSPACING="0" COLS="11" BORDER="0">
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	<TR>
		<TD COLSPAN=10 ROWSPAN=2 HEIGHT="186" ALIGN="LEFT"><BR><IMG SRC="06%20FACT%202014-70%20%20PRELEVEMENT_html_c4470ff7.png" WIDTH=665 HEIGHT=180 HSPACE=7 VSPACE=3>
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		<TD ALIGN="LEFT"><BR></TD>
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		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT COLOR="#000000">80 AVE DE NICE</FONT></B></TD>
		<TD ALIGN="LEFT" SDNUM="1036;0;@"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ROWSPAN=3 ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT SIZE=5 COLOR="#000000">FACTURE</FONT></B></TD>
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	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT COLOR="#000000">06800 CAGNES / MER</FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT COLOR="#000000">TEL 04 93 14 90 78</FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=TOP SDNUM="1036;0;@"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
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		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
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	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">FACTURE N°                   </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE><FONT COLOR="#000000"><BR></FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">DATE                                                   </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">31/01/2014</FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-left: 1px solid #313739" COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE><FONT COLOR="#000000">NOM</FONT></TD>
		<TD STYLE="border-right: 1px solid #313739" COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@">PRENOM</TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">URSSAF N °                   </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">937 EN COURS</FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE><FONT COLOR="#000000"><BR></FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
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	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">INTERVENANT ( E )  </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE><FONT COLOR="#000000">ADRESSE</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
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	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">ADHERENT TEL      </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">0</FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE><FONT COLOR="#000000">COMPLEMENT</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">REFERENCE             </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">0</FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-left: 1px solid #313739" ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;00000"><FONT COLOR="#000000">CP</FONT></TD>
		<TD STYLE="border-right: 1px solid #313739" COLSPAN=3 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;00000">VILLE</TD>
		<TD ALIGN="LEFT"><BR></TD>
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	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">CODE                                           </FONT></B></TD>
		<TD COLSPAN=2 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">06</FONT></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><BR></B></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE><FONT COLOR="#000000"><BR></FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE><B><FONT SIZE=3>SERVICE   MANDATAIRE</FONT></B></TD>
		<TD ALIGN="CENTER" VALIGN=MIDDLE><B><FONT SIZE=3><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE><B><FONT SIZE=3>Période du 01/01/14 au 31/01/14</FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><B><FONT COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">DESIGNATION</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">TAUX/BASE</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">QUANTITE</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">H  T</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">TVA 20%</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">TTC</FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Appel des Charges URSSAF</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Appel des Charges URSSAF Régularisation</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Appel des Charges URSSAF Patronales </FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="40,83" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">40,83</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Appel des Charges URSSAF Salariales</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="23,37" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">23,37</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE BGCOLOR="#969696" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Appel des Charges de Gestion</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="1,1" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">1,10</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Appel des Charges ouverture de dossier</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">Adhésion Renouvellement 2014</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=5 ROWSPAN=2 ALIGN="LEFT" VALIGN=TOP><B><FONT FACE="Arial Narrow" SIZE=1>MESSAGE:</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">HORS TVA</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">H T</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">TOTAL TVA</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">NET A PAYER </FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><B><FONT FACE="Arial Narrow" SIZE=3>0,00</FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739" ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=9 ALIGN="CENTER"><B><FONT SIZE=3>          FACTURE PAYABLE PAR PRELEVEMENT BANCAIRE LE 10/02/14</FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" COLSPAN=9 ALIGN="CENTER"><B><BR></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=5 ALIGN="LEFT" VALIGN=MIDDLE><B>DOMICILIATION :</B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="LEFT" VALIGN=MIDDLE><B>BIC :</B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE><FONT FACE="Arial Narrow"><BR></FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739" COLSPAN=6 ALIGN="LEFT" VALIGN=MIDDLE><FONT FACE="Arial Narrow">POUR INFORMATION SALAIRE NET A REGLER A VOTRE INTERVENANT ( E ) :</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;@"><B><FONT FACE="Arial Narrow">0</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT" VALIGN=MIDDLE><BR></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739" COLSPAN=8 ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow">TOTAL REGLE SALAIRE ET CHARGES</FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><B><FONT FACE="Arial Narrow">0,00</FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="24" ALIGN="LEFT"><BR></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow" COLOR="#000000"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><FONT FACE="Calibri" COLOR="#000000"><BR></FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE><FONT FACE="Arial Narrow">CUMUL DE VOS DEPENSES</FONT></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-right: 1px dashed #313739" COLSPAN=4 ROWSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE><B><U><FONT FACE="Arial Narrow">Merci de joindre ce papillon à votre règlement</FONT></U></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><FONT FACE="Calibri" COLOR="#000000"><BR></FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE><FONT FACE="Arial Narrow">POUR DEDUCTION FISCALE</FONT></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><FONT FACE="Calibri" COLOR="#000000"><BR></FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-left: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE><B><U><FONT FACE="Arial Narrow"><BR></FONT></U></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;#&nbsp;##0,00"><B><U><FONT FACE="Arial Narrow"><BR></FONT></U></B></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><B><U><FONT FACE="Arial Narrow"><BR></FONT></U></B></TD>
		<TD STYLE="border-top: 1px solid #313739; border-bottom: 1px solid #313739; border-left: 1px dashed #313739; border-right: 1px dashed #313739" COLSPAN=4 ALIGN="CENTER" VALIGN=MIDDLE><B><FONT FACE="Arial Narrow">NOM</FONT></B></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><FONT FACE="Calibri" COLOR="#000000"><BR></FONT></TD>
		<TD STYLE="border-left: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Cumul Factures        :</FONT></TD>
		<TD STYLE="border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;0,00"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Hors TVA  :</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-left: 1px solid #313739" ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;JJ/MM/AAAA"><FONT FACE="Arial Narrow">Date             :</FONT></TD>
		<TD STYLE="border-top: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;@"><FONT FACE="Arial Narrow">31/01/2014</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><FONT FACE="Calibri" COLOR="#000000"><BR></FONT></TD>
		<TD STYLE="border-left: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Cumul Nb d'heures  :</FONT></TD>
		<TD STYLE="border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;0,00"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD ALIGN="LEFT" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Total TVA :</FONT></TD>
		<TD STYLE="border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-left: 1px solid #313739" ALIGN="LEFT" VALIGN=MIDDLE SDNUM="1036;0;JJ/MM/AAAA"><FONT FACE="Arial Narrow">N° Facture :</FONT></TD>
		<TD STYLE="border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
	<TR>
		<TD HEIGHT="20" ALIGN="LEFT"><FONT FACE="Calibri" COLOR="#000000"><BR></FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-left: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Cumul Salaires         :</FONT></TD>
		<TD STYLE="border-bottom: 1px solid #313739; border-right: 1px solid #313739" COLSPAN=2 ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-left: 1px solid #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE SDNUM="1036;0;0,00"><B><FONT FACE="Arial Narrow"><BR></FONT></B></TD>
		<TD STYLE="border-bottom: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Total HT   :</FONT></TD>
		<TD STYLE="border-bottom: 1px dashed #313739; border-right: 1px solid #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD STYLE="border-bottom: 1px dashed #313739" ALIGN="LEFT" VALIGN=MIDDLE><FONT FACE="Arial Narrow">Net à Payer:</FONT></TD>
		<TD STYLE="border-bottom: 1px dashed #313739; border-right: 1px dashed #313739" ALIGN="CENTER" VALIGN=MIDDLE SDVAL="0" SDNUM="1036;0;#&nbsp;##0,00"><FONT FACE="Arial Narrow">0,00</FONT></TD>
		<TD ALIGN="LEFT"><BR></TD>
	</TR>
</TABLE>
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